Patient Journey
Patient flow from admission through diagnosis, treatment, and discharge
HealthcareLead Time
11.5h
Cycle Time
4.0h
Wait Time
7.5h
PCE
34.8%
Stages
8
Bottleneck
Diagnostic Tests
Value-Add vs Non-Value-Add
Value-Add (VA)
An activity is value-add if it meets all three criteria:
- The customer is willing to pay for it
- It transforms the product or service
- It is done right the first time
Examples: Assembly, diagnosis, treatment, coding, machining, testing
Non-Value-Add (NVA)
Activities that consume time or resources but don't add value from the customer's perspective:
- Waiting — queues, approvals, batching delays
- Transport — moving materials or information
- Motion — unnecessary movement of people
- Rework — correcting defects or errors
- Over-processing — doing more than required
Note: Some NVA is necessary (compliance, safety). Target unnecessary NVA first.
Process Timeline
Value-Add vs Non-Value-Add
Bottleneck Analysis
Stage Efficiency
| # | Stage | Cycle (h) | Wait (h) | VA | Resource | Defect % | Efficiency |
|---|---|---|---|---|---|---|---|
| 1 | Registration & Triage | 0.5 | 0.75 | VA | Nurse | 5.0% | 40.0% |
| 2 | Waiting Room | 0.0 | 1.5 | NVA | Patient | 0.0% | 0.0% |
| 3 | Initial Assessment | 0.5 | 0.25 | VA | Doctor | 8.0% | 66.7% |
| 4 | Diagnostic Tests | 0.75 | 2.0 | VA | Lab Tech | 4.0% | 27.3% |
| 5 | Results Review | 0.25 | 1.0 | VA | Doctor | 3.0% | 20.0% |
| 6 | Treatment Plan | 0.5 | 0.5 | VA | Doctor | 2.0% | 50.0% |
| 7 | Treatment Delivery | 1.0 | 0.5 | VA | Nurse | 3.0% | 66.7% |
| 8 | Discharge & Follow-up | 0.5 | 1.0 | VA | Admin | 10.0% | 33.3% |